Nicole Taub, PNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bayport, New York. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Heart And Soul Community Counseling and her current practice location is
704 Middle Rd, Bayport, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 664-6563.
Nicole Taub is licensed to practice in New York (license number F402274-1) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730688862.
Provider's Profile
| Full Name | Nicole Taub |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 704 Middle Rd, Bayport, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole Taub graduated from nursing school in 2017
NPI Data:
- NPI Number: 1730688862
- Provider Enumeration Date: 02/05/2018
- Last Update Date: 02/05/2018
Medicare PECOS Information:
- PECOS PAC ID: 9537598610
- Enrollment ID: I20200413000835
Medical Identifiers
Medical identifiers for Nicole Taub such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730688862 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F402274-1 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Heart And Soul Community Counseling | 1951644657 | 6 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Taub allows following entities to bill medicare on her behalf.
| Entity Name | Heart & Soul Community Counseling |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346223252
PECOS PAC ID: 1951644657
Enrollment ID: O20190521001824 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Taub is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Nicole Taub, PNP
704 Middle Rd,
Bayport, NY 11705-1920
Ph: () - | Nicole Taub, PNP
704 Middle Rd,
Bayport, NY 11705-1920
Ph: (631) 664-6563 |
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